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General NPI Number Information
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NPI Number | 1194044008
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Entity Type | Organization
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Legal Business Name | MILESTONES THERAPEUTIC ASSOCIATES
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 3300 N MCCOLL RD STE A
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City | MCALLEN
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State | TX
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Zip | 78501-5696
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Country | US
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Telephone | 956-661-0475
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Fax | 956-630-9941
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Provider Business Mailing Address
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Address Line | 3300 N MCCOLL RD STE A
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City | MCALLEN
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State | TX
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Zip | 78501-5696
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Country | US
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Telephone | 956-661-0475
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Fax | 956-630-9941
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | LORENA TREVINO
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Credential | LMSW
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Telephone | 956-661-0475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 40249
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License Number State | TX
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